Prescription Form

Need a prescription? Download here.

Most insurance companies require that you have a prescription signed by your doctor to receive coverage for physical therapy services. Please verify prior to treatment whether your insurance requires a prescription. Click here to download your prescription form for Advance Physical Therapy. Your written prescription will be valid for 80 days from the date it is written so be sure to schedule your first visit within that timeframe. Let us know how we can help: 217-222-6800.